NPI | 1487388989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD305037) |
213E00000X Podiatrist (Licence: SC 785) | |
213ES0000X Podiatrist, Sports Medicine (Licence: SC 785) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD305037) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SC 785) | |
213ES0131X (Licence: SC 785) | |
213ES0000X Podiatrist, Sports Medicine (Licence: GA POD305037) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD305037) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 785) | |
213ES0131X (Licence: GA POD305037) | |
Enumeration Date | 2022-07-12 |
Last Update Date | 2025-04-08 |